Clinic
West Virginia Health Right, INC.
West Virginia Health Right, INC. was paid $2.73M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoWEST VIRGINIA HEALTH RIGHT, INC.
CHARLESTON, WV 25311
CHARLESTON, WV 25311
33aNPI1124453964assigned 09/12/2013
33bProvider typeHealth Service Clinic/Center
28Total paid$2.73M
24GClaims58,527
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in West Virginia
Rank by total paid#1 of 5
Median peer was paid$82K
This provider vs. median33×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,459 | $279K | |
| 2019 | 4,441 | $208K | |
| 2020 | 6,895 | $356K | |
| 2021 | 9,381 | $401K | |
| 2022 | 10,955 | $523K | |
| 2023 | 11,789 | $569K | |
| 2024incomplete | 8,607 | $396K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 14,605 | 13,090 | $776K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 26% | 15,101 | 14,753 | $716K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 8,356 | 7,481 | $626K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 2,488 | 2,295 | $86K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 986 | 949 | $67K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 677 | 638 | $66K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 954 | 743 | $64K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 1,054 | 752 | $51K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 483 | 331 | $48K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 2,875 | 2,443 | $44K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 5,010 | 4,325 | $33K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,702 | 1,608 | $25K |
27 more codes
| D0330 | Panoramic radiographic image | <1% | 349 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 299 | $15K |
| 99406 | <1% | 305 | $14K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 142 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 260 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 82 | $10K |
| 0001A | <1% | 280 | $10K | |
| 0002A | <1% | 205 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 63 | $7K |
| 0013A | <1% | 156 | $6K | |
| 0003A | <1% | 106 | $4K | |
| 0011A | <1% | 100 | $3K | |
| 0012A | <1% | 84 | $3K | |
| 0124A | <1% | 92 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 359 | $1K |
| 0072A | <1% | 41 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 43 | $786.50 |
| 0071A | <1% | 54 | $640.00 | |
| D0190 | <1% | 29 | $469.00 | |
| 0031A | <1% | 37 | $440.07 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 18 | $66.75 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | $44.00 |
| 91300 | <1% | 574 | $0.06 | |
| 91301 | 0% | 354 | $0.00 | |
| 91307 | 0% | 85 | $0.00 | |
| 91312 | 0% | 78 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSETTLE, ANGELA (EXECUTIVE DIRECTOR/CEO)